Organization
INTERVENTIONAL DIABETES CENTER LLC 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE HAMPTON (OWNER)
(901) 791-1711
Entity
Organization
Contact information
Practice address
5362 ESTATE OFFICE DR STE 1, MEMPHIS, TN 38119-3630
(901) 791-1711
Mailing address
5362 ESTATE OFFICE DR STE 1, MEMPHIS, TN 38119-3630
(901) 791-1711
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
213E00000X
Podiatrist
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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